Individual
EVONNA ACKOUREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1921 WALDEMERE ST STE 504, SARASOTA, FL 34239-2941
(941) 917-8525
(941) 917-8526
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061187
PA
363A00000X
Physician Assistant
Primary
PA9117342
FL
Other
Enumeration date
10/11/2019
Last updated
02/02/2024
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